A/R Rep

BHS • KY

72d

About The Position

Baptist Health Medical Group is looking for an A/R Rep to join their team. This is a remote work position that requires residency in KY or IN. Under the direction of the Medical Group’s CBO Supervisors and Managers, the A/R Rep is responsible for CBO related duties such as billing, follow-up, claim edits, credits, provider enrollment review, and other billing-related projects, cash posting and payer underpayment resolution, customer service, and/or administrative functions.

Requirements

• High school graduate or GED certificate required; Associate degree preferred.
• 3+ years of Ambulatory/Provider Billing in a multi-specialty practice preferred.
• 1-2 years EPIC Practice Management experience preferred.
• Proficient with standard Windows applications (e.g., MS Office application suite, advanced skilled using MS Excel functions).
• High level proficiency in use of basic computer applications (e.g., Internet Explorer, word processing, email applications).
• Advanced keyboarding skills.

Responsibilities

• Consistently manage and prioritize claim edit work queues to ensure all accounts are corrected and submitted timely and accurately.
• Review previous notes, correspondence, and document actions taken on account in the Practice Management System.
• Follow up on unpaid claims, identify overpayments, and initiate refunds and adjustment process to ensure accurate and timely submission.
• Perform account reconciliations and analysis to ensure accuracy and completeness of invoices.
• Maintain working knowledge of payor policies applicable to assigned work group.
• Work closely with the supervisor or manager in the department to report denial trends and follow up with the payer.
• Handle Customer Service inquiries from patients and others to include written requests, emails, and/or answer phones.
• Collaborate with all other revenue cycle departments and practices to resolve any outstanding encounters.
• Maintain productivity and quality standards as set by CBO leadership.
• Maintain an acceptable average 'Quality Review' score as set by CBO quality and productivity policy.
• Maintain an acceptable productivity average of 90% or greater.
• Maintain billing/coding knowledge of assigned specialty and identify trends to report up to leadership.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees